Individual
TIM NHAT LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
4061 POWELTON AVE APT RA, PHILADELPHIA, PA 19104-5445
(630) 776-3761
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN785345
PA
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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